Individual
WESLEY WAYNE HISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 E 1ST ST, CASPER, WY 82601-2704
(307) 266-3174
(307) 261-6713
Mailing address
1230 E 1ST ST, CASPER, WY 82601-2704
(307) 266-3174
(307) 261-6713
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2558A
WY
207RI0011X
Interventional Cardiology Physician
Primary
2558A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060022914
RAILROAD MEDICARE
WY
05
—
101390400
—
WY
01
—
305072
BCBS
WY
Enumeration date
05/31/2006
Last updated
01/23/2015
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